通络开痹片联合循经取穴推拿对腰椎间盘突出病人腰椎功能和疼痛程度影响

汪芸芸; 王成芳

doi:10.13898/j.cnki.issn.1000-2200.2023.07.022

通络开痹片联合循经取穴推拿对腰椎间盘突出病人腰椎功能和疼痛程度影响

Effect of Tongluo Kaibi tablet combined with meridian acupoint massage on lumbar function and pain in patients with lumbar disc herniation

摘要

摘要:
目的探讨通络开痹片联合循经取穴推拿对腰椎间盘突出(LDH)疗效及其对病人腰椎功能、疼痛程度的影响。
方法选取LDH病人118例，随机分为对照组和观察组，各59例。2组病人均给予常规对症治疗及护理，对照组病人给予循经取穴推拿手法治疗，观察组病人在对照组基础上给予通络开痹片口服治疗，连续治疗6个月，比较2组病人临床疗效和腰椎功能、疼痛程度。
结果观察组治疗总有效率94.92%(56/59)，高于对照组的81.36%(48/59)(P < 0.05)。治疗前2组病人2组视觉模拟评分量表(VAS)评分差异无统计学意义(P>0.05)；治疗1、3、6个月，VAS评分均逐渐降低，且观察组均低于对照组(P < 0.05~P < 0.01)。治疗前2组病人腰椎功能相关评分和生活质量评分差异均无统计学意义(P>0.05)；治疗后2组腰部关节活动度(前屈、后伸)、日本骨科协会评估治疗分数和生活质量评分均较治疗前升高，且观察组均高于对照组(P < 0.05~P < 0.01)，2组Oswestry功能障碍指数均降低，且观察组低于对照组(P < 0.05)。2组总不良反应发生率差异无统计学意义(P>0.05)。
结论通络开痹片联合循经取穴推拿可有效改善LDH病人腰椎功能、缓解疼痛，有利于改善病人预后且安全性较好。

Abstract:
ObjectiveTo investigate the curative effects of Tongluo Kaibi tablet combined with meridian acupoint massage in patients with lumbar disc herniation(LDH) and its influence on lumbar function and pain degree.
MethodsA total of 118 LDH patients were randomly dividied into the control group and observation group(59 cases in each group).The routine symptomatic treatment and nursing were given into two groups, the control group was treated with the meridian acupoint massage, and the observation group were additionally treated with Tongluo Kaibi tablet orally on the basis of the control group for 6 months.The curative effects and its influence on lumbar function and pain degree were compared between two groups.
ResultsThe total effective rate in the observation group(94.92%) was higher than that in control group(81.36%) (P < 0.05).There was no statistical significance in the visual analogue scale(VAS) scores between two groups before treatment(P>0.05).After 1, 3 and 6 months of treatment, the VAS scores in two groups decreased, and which in the observation group was lower than that in control group(P < 0.05 to P < 0.01).There was no statistical significance in the lumbar function score and quality of life score between two groups before treatment(P>0.05).After treatment, the motion range of lumbar joints(flexion/extension), Japanese Orthopaedic Association scores and quality of life scores in two groups increased compared with before treatment, and which in the obserevation group were higher than those in control group(P < 0.05 to P < 0.01).After treatment, the Oswestry disability index scores in two groups decreased, and which in the observation group was lower than that in control group(P < 0.05).There was no statistical significance in the incidence of total adverse reaction between two groups(P>0.05).
ConclusionsTongluo Kaibi tablet combined with meridian acupoint massage can effectively improve the lumbar function and relieve pain in patients with LDH, which is beneficial to improve the prognosis of patients and has good safety.

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